- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $29.79 / $3,117.01
| Facility | | $16.44 | $29.79 | $3,117.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $20.55 / $32.22
| Professional | | $11.67 | $20.55 | $32.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5,000.00 / $8,639.91 / $79,506.39
| Facility | | $5,000.00 | $8,639.91 | $79,506.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.53 / $33.53 / $33.53
| Professional | | $25.53 | $33.53 | $33.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.22 / $21.22 / $41.39
| Facility | | $21.22 | $21.22 | $41.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $18.04 / $27.42
| Professional | | $18.04 | $18.04 | $27.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.35 / $34.08 / $64.75
| Professional | | $31.35 | $34.08 | $64.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.43 / $146.61 / $224.27
| Facility | | $25.43 | $146.61 | $224.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.10 / $58.58 / $3,117.01
| Facility | | $26.10 | $58.58 | $3,117.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $20.55 / $35.29
| Professional | | $9.67 | $20.55 | $35.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.10 / $43.70 / $66.09
| Professional | | $25.10 | $43.70 | $66.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.22 / $21.22 / $41.39
| Facility | | $21.22 | $21.22 | $41.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $18.04 / $40.88
| Professional | | $18.04 | $18.04 | $40.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.27 / $31.91 / $31.91
| Facility | | $25.27 | $31.91 | $31.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.27 / $31.91 / $33.61
| Professional | | $25.27 | $31.91 | $33.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $17.14 / $29.30
| Professional | | $11.55 | $17.14 | $29.30 |